Bloom and Grow Pediatrics LLC
NPI #1760956031 in Cloudcroft, New Mexico
Provider Information
- NPI Number
- 1760956031
- Entity Type
- Organization
- Organization Name
- Bloom and Grow Pediatrics LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 18, 2019
- Last Updated
- Jul 1, 2022
Practice Location
- Address
- 1315 BURRO AVE
- City
- Cloudcroft
- State
- New Mexico
- ZIP Code
- 88317-7719
- Phone
- (575) 682-2002
Authorized Official
- Name
- SUSAN BRUCE, CPNP
- Title
- OWNER
- Phone
- (575) 921-2318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
| Clinic/Center - Primary Care — Primary Care |
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